All posts by : chebby

there must be 1500-2000 words . 

I need a response to this assignment

2 references

This discussion will examine mental health issue in the older adult population and what it looks like in a group therapy setting as observed during my clinical experiences as well as any issues, resistances, challenges and therapeutic techniques implemented by the group facilitator. The group session that I observed was a group of elderly clients whose ages ranges from 60-70 year. The group consists of total of 10 members and their primary diagnosis is major depressive disorder. The group session met three times a week. Each session lasted approximately 60 minutes. This therapeutic group was formulated prior to me beginning my practicum experience. The initial stage of formation has already been adopted by the members. Based on my observation, the group members are in the norming stage due to the development of shared values, goals and support between the group members (Priestley, 2015)

Group Challenges

The group members were respectful of each other. However, there were times when the group members may interrupt other members while they are speaking about a specific topic, and this is when the therapist intervenes and get the clients back to track. Another issue noted is they are organic deficits that exist among some members of the group members, this include advancing age of the clients, occasionally, noted change of mental function is decreased by either medical or physical issues but not psychiatric illness (Enslion & Taylor, 2013). This issue may sometimes cause certain topic and concepts to be further discussed in order to receive appropriate knowledge and feedback. 

Therapeutic Techniques

The therapist used cognitive Behavioral therapy for the group. CBT is considered an efficacious treatment for depression. Clients benefit from CBT by learning strategies which help identify negative thought patterns and enable them to deal more effectively with their depression (Wheeler, 2014).

1) Minimum 10 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 4 pages

             Part 6: minimum 1 page

              Part 7: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: 

1. What is the significance of evidence-based practice to health care? 

2. Discuss the most reliable evidence-based sources.

Part 2: 

 Topic research proposal :  Knowledge about HIV / AIDS and sexual behavior in adolescents in the San Francisco Community, California.

Now that you have submitted your research proposal and you are preparing to submit your research proposal presentation, 

1. How confident do you feel about developing a research proposal as part of your future career as a nurse researcher? Explain your answer. 

2. What questions or concerns do you still have about conducting research in nursing?

Part 3: 

Select one of the future issues presented this week :  Health Promotion

1. Examine the issue in terms of cultural diversity, health promotion, and communication methods.

2.  Discuss in detail how this issue affects healthcare delivery and advanced nursing. 

Part 4: 

 1. What are the challenges encountered in data collection as it applies to research?

2. What are the types of interview technique when interviewing participants? 

3. List your preferences  of types of interview techniqueand tell us why?

Part 5: 

As discussed earlier in this course, your personal teaching philosophy is a work in progress. You will revisit and revise your teaching philosophy that you submitted (See File 1). As part of this assignment, you should evaluate your original philosophy and include a one-page discussion of how your thoughts and ideas about teaching have changed and developed during this course. Guidelines for revising your teaching philosophy and the one-page discussion are below.

Assignment Guidelines (3 pages)

1. Reflect on the teaching principles and practices discussed during the course.

2. What did you learn about teaching that you did not know prior to this course?

3. What stood out as important to you over the past 8 weeks?

4. Consider how you might expand, adapt, or change your original philosophy to your current perspective on teaching (or you may feel compelled to take it in a completely new direction).

5. Clearly express your current teaching values and beliefs, and discuss why you hold those values and beliefs (whether or not they have changed).

6. Describe your current teaching goals (whether or not they have changed).

7. Explain the teaching methods or strategies that you believe are best (whether or not they are different from your original philosophy). Note: make sure the teaching methods you find best are consistent with your goals.

Discussion evaluating (1 page) how your personal thoughts and ideas about teaching have changed during this course.

Compare your original philosophy (File 1) y to your revised teaching philosophy and evaluate the following in a one-page written discussion:

1. Have your teaching goals, methods, or strategies changed, and if so, how and why? Have your teaching priorities and/or perspectives changed or shifted, and if so, how and why?

2. Do you value different learning experiences, and if so, what are they and why?

3. Include any additional information that may highlight how your thoughts and ideas have changed or developed during this course.

Part 6: 

1. What do you think would be the response of historical nursing leaders such as Florence Nightingale, Lillian Wald, and Mary Breckenridge if they could see what the profession of nursing looks like today?

Part 7: 

The five elements of the nursing process are all incorporated into the patient’s plan of care and revised as the patient’s health status changes.

A patient is admitted with chest pain following a visit with her family health care provider. Using the “OLD CART” method of gathering pertinent data

1. Discuss the type of questions you will be asking this patient in relation to her chest pain.

2. Discuss the five components of the nursing process as it relates to the above patient. 

Inpatient and Outpatient Care

Assignment:

Based on your findings, write a graduate-level comparative analysis of inpatient and outpatient services that clearly addresses the following:

• Identify      and describe inpatient settings and outpatient settings. Explain the following      examples for each setting: 1) Labor & Delivery vs. Obstetrics- Gynecology      Clinic 2) Medical Surgical Unit vs. Radiology (x-rays, MRI)
• Classify      the typical services provided and key personnel between inpatient settings      and outpatient settings.
• Identify,      describe, and evaluate “telehealth” a trend that is currently      impacting inpatient and outpatient settings. 
• Analyze      the trends, and “thinking as a health care administrator” how do you capitalize      on these trends to improve operation and bottom line performance? How can      you mitigate the negative impact of the trends? (https://blog.definitivehc.com/infographic-8-healthcare-trends-for-2020-and-beyond)

Length: 4 pages, APA format, scholarly sources (2015-2020), use subheadings. Must use at least 2 sources below.

Resources:

Dreachslin, J. L., Gilbert, M. J., & Malone, B. (2012). Diversity and cultural competence in health care: A systems approach. Chapter 4 Foundations for Cultural Competence in Healthcare. Available in the Trident Online Library.

Medicare Resources. (n.d.). What are ancillary services? Retrieved from https://www.medicareresources.org/glossary/ancillary-services/

Osborne. K. (2012). What are ancillary services? Retrieved from https://www.mymatrixx.com/what-are-ancillary-services/

Peconic Bay Medical Center. (2017). The difference Between Inpatient and Outpatient Care. Retrieved from https://www.planprescriber.com/medicare-insurance-news/differences-between-inpatient-outpatient-and-under-observation/

Shi, L., & Singh, D. A. (2017). Chapter 7 Outpatient services and primary care. In Essentials of the U.S. health care system. (4th ed). Burlington, MA: Jones & Bartlett Learning. Available in the Trident Online Library.

Stanford Medicine. (n.d.). Stanford Medicine 2020 Health Trends Report. Retrieved from http://med.stanford.edu/dean/healthtrends.html

As you begin your journey toward achieving your academic and professional goals, you have a great opportunity to network with academics and professionals who can help ensure you do not travel alone. This network can help to clarify your own vision for success and can help guide you now and in the future. To paraphrase Donne, no one is an island.

Begin creating an academic and professional network by identifying which academic and professional connections and resources you need to collaborate with to be successful in your MSN program and as a practicing nurse.

To Prepare:

• Consider      individuals, departments, teams, and/or resources within Walden University      and within your profession that you believe can support your academic and      professional success.
• Identify at      least two academic and at least two professional individuals, colleagues,      or teams to collaborate with to help you be successful in your MSN program      and as a practicing nurse.
• Download the Academic      Success and Professional Development Plan Template.

The Assignment:

Academic and Professional Network

Complete Part 1 of your Academic Success and Professional Development Plan Template. Be sure to address the following:

• Clearly and      accurately identify at least two academic individuals or teams to      collaborate with to be successful in the MSN program and as a practicing      nurse.
• Clearly and      accurately identify at least two professional individuals or teams      to collaborate with to be successful in your MSN program and as a      practicing nurse.
• Clearly and      thoroughly explain in detail why the academic and professional      individuals/teams were selected to support success in the MSN program and      as a practicing nurse.
• Clearly and      accurately explain how the academic and professional individuals/teams      will support success in the MSN program and as a practicing nurse.

Mother Tongue by Amy Tan

Minimum of 350 words with at least 2 peer review reference in 7th edition apa style

  Summarize and discuss the clinical characteristics (Placenta abruption) and identify the appropriate laboratory, imaging, and other diagnostic and screening tools that apply to this condition or disorder. Why did you select these tests or tools as being appropriate to this scenario? Support your summary and recommended plan with a minimum of two peer-reviewed references in addition to the course materials.  

Important information you must know as controlled substance prescriber:

• There are five classes of substance considered under the Comprehensive Drug Abuse Prevention and Control Act of 1970 (Comprehensive Drug Abuse Prevention and Control Act of 1970, 2019). Review them by visiting the following link https://www.dea.gov/drug-scheduling
• Once licensed as Florida Nurse Practitioner (NP) license, you will need 2 hours of controlled substance prescription CEUs and to apply for the DEA license. The application cost $ 731 and it’s valid for three years. NPs are required to have a controlled substance agreement with the supervising physician. DEA website https://apps.deadiversion.usdoj.gov/webforms/jsp/regapps/common/newAppLogin.jsp

References

Comprehensive Drug Abuse Prevention and Control Act of 1970. Retrieved on March 10, 2019 from https://en.wikipedia.org/wiki/Comprehensive_Drug_Abuse_Prevention_and_Control_Act_of_1970

Kellams, J. R., & Maye, J. P. (2017). The last state to grant nurse practitioners DEA licensure: An education improvement initiative on the Florida prescription drug monitoring program. Journal of addictions nursing, 28(3), 135-142. doi: 10.1097/JAN.0000000000000177

U.S Department of Justice and Drug Enforcement Administration. Diversion control division. Application for Registration Under Controlled Substances Act of 1970 (NewApplicants Only). Retrieved from https://apps.deadiversion.usdoj.gov/webforms/jsp/regapps/common/newAppLogin.jsp

Emergency Plan for the Older Adult

Locate the American Red Cross in your area: http://www.redcross.org/ or in person.

• Identify what is necessary for emergency supplies to have on hand for a healthy older adult. Consider visiting with an older family member or friend to identify specific needs for this older adult (reasonable for this person)
•  Assist the older adult (OA) in creating their Personal Emergency Plan and contacts
•  Describe what the OA was surprised to need or what they seemed to predict on their own
•  Why is this important for OA singles or couples who live independently without services?
•  Complete at least two slides for each bullet point with a total of 10 slides

Assignment Expectations:

Length: Minimum of 10 content slides

Structure: Include a title slide, objective slide, content slides, and reference slide in APA format. The title/objective/reference slides do not count towards the minimum slide count for this assignment. 

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft PPT document

Ms. BD is a 33-year-old G2P1 African-American female who presents to your clinic today complaining of unusual fatigue, nausea, and vomiting for the last five days. She has a medical history of chronic hypertension (HTN) that was diagnosed shortly after her first pregnancy two years ago and GERD. MS. BD’s blood pressure is controlled on Lisinopril-Hydrochlorothiazide 20/12.5mg by mouth twice a day, and GERD controlled on Bismuth Subsalicylate 262mg by mouth every 6 hours as needed. During the interview, you learn that she is single, sexually active, has one partner and that her menses is ten days late. She performed a home pregnancy the three days after missing her menstrual cycle, and the results were inconclusive. She states she feels terrible and needs relief. She has no other medical problems, symptoms, or concerns.

Assessment: Physical examination is unremarkable. BP128/68, HR is 74, Urine human chorionic gonadotropin (HCG) positive, beta HCG sent, potassium 4.2, blood
urea nitrogen (BUN) 14, creatinine is 0.6, Alanine aminotransferase (ALT) 29, White blood cells (WBCs) 6.5, hemoglobin (Hgb) 12.8, hematocrit (Hct) 39, and platelets 330,000.

1. List the additional questions you would need to ask this patient. Explain.
2. What is the safety profile of Lisinopril-hydrochlorothiazide and bismuth subsalicylate in pregnant women? What are the possible complications to the pregnant woman and her fetus?
3. What is the importance of assessing laboratory values when prescribing medications? How might the laboratory values, in this case, impact your treatment plan?
4. Would you make any changes to Ms. BD’s blood pressure and GERD medications? Explain. If yes, what would you prescribe? Discuss the medications safety in pregnancy, mechanism of action, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings.
5. How does ethnopharmacology apply to this patient if she were NOT pregnant? Explain.
6. What health maintenance or preventive education do you provide in this client case based on your choice of medications/treatment?
7. Would you treat this patient or refer her? Explain. If you refer, where would you refer this patient?